Question

A 30-year-old woman at 30 weeks gestation presents with severe itching, particularly on the palms of her hands and soles of her feet, worse at night. There is no rash. Liver function tests show elevated bile acids and a mildly elevated ALT. What is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy (ICP)

Answer

Polymorphic eruption of pregnancy (PEP)

Answer

Pemphigoid gestationis

Answer

Acute fatty liver of pregnancy

Answer

Prurigo of pregnancy

Practice question

A 30-year-old woman at 30 weeks gestation presents with severe itching, particularly on the palms of her hands and soles of her feet, worse at night. There is no rash. Liver function tests show elevated bile acids and a mildly elevated ALT. What is the most likely diagnosis?